LexisNexis Provider Integrity Scan Description
To mitigate potential risks, the Centers for Medicare and Medicaid Services (CMS) have instituted guidelines to ensure the validation of their networks. Given that Pharmacy Benefit Managers (PBMs) are significantly impacted by the risk assessment process, the demand for precise and actionable insights has reached unprecedented levels. The LexisNexis Provider Integrity Scan streamlines a variety of provider verification processes and offers continuous monitoring by cross-referencing numerous files and lists, while also delivering automatic alerts for numerous high-risk factors. This tool is proficient in screening and verifying providers both before and after enrollment, aiming to uncover and thwart criminal activities effectively. By identifying potentially fraudulent providers and businesses involved in health-related programs, the LexisNexis Provider Integrity Scan serves to lower costs for health care payers and PBMs alike. Our innovative solution empowers users to effectively conduct multiple searches and access crucial information, enhancing their operational efficiency and security. This comprehensive approach not only safeguards the integrity of health care programs but also fosters a more reliable health care environment.
LexisNexis Provider Integrity Scan Alternatives
Incredable
Incredable is an all-in-one configurable credentialing solution that bridges the gap between healthcare facilities, providers, and administrators. The platform streamlines the entire credentialing process, from document management and compliance tracking to credential verification. Incredable ensures that healthcare professionals remain fully compliant and prepared at all times. Trusted across the healthcare industry, Incredable reduces administrative burdens, enhances operational efficiency, and fosters seamless collaboration among all stakeholders, allowing healthcare teams to focus on delivering quality care.
Learn more
MedRight
MedRight is a user-friendly, fully supported, cost-effective EHR/eMAR that can be used in senior living communities such as ALFs, and SNFs.
Because of its flexible configuration features, other users include IDDs, and treatment centers). MedRight is HIPAA compliant and ensures patient safety. MedRight is used coast to coast and includes all the features needed to manage any senior living community:
Inventory Tracking
e-Naarcotic Logs
eMAR
Full reporting
Seizure Tracking
Behavior Tracking
Charting
Incident Tracking
Manage Staff and Residents
Assessments
Care Plans
Community Calendar
Resident Calendar
Vital Tracking and Graphing
e-Prescribing
Refusal Log
Text/email notifications
Document Manager
Alerts and Trends
Pharmacy Integration
Ability to work without internet
Standing Orders
email blasts to resident families
Family Portal
CRM specific for your usage
ADL tracking
Wound management
Staff License and Training Management
Dashboard to track Key Performance Indicators (KPI)
Web-based and on the Cloud
We integrate with other health care providers using our API and strongly believe in healthcare interoperability.
Get a demo or try MedRight's free trial.
Learn more
MedTrainer
MedTrainer accelerates and simplifies healthcare workforce education, compliance, and credentialing. MedTrainer’s natively built software platform provides a seamless user experience that helps healthcare organizations thrive in managing their workforce.
Learning: A healthcare-specific learning management system (LMS) enriched with thousands of education courses and resources created by subject matter experts to satisfy regulatory, accreditation requirements, and provide continuing education credit.
Compliance: A technology solution that combines incident reporting, document, and policy management, and highly customizable reports to improve compliance.
Credentialing: An end-to-end credentialing capability with automation, workflows, and centralized data to simplify the process and reduce costly delays. From PSV to provider enrollment and privileging, everything is in one platform with complete visibility.
Learn more
LexisNexis AML Insight
AML Insight™ is an innovative solution for anti-money laundering (AML) provided by LexisNexis, aimed at supporting financial institutions in identifying, analyzing, and reporting potentially suspicious activities. By utilizing advanced data analytics and AI technology, the platform delivers timely insights and thorough oversight of transactional behaviors. It empowers organizations to pinpoint and handle high-risk entities and transactions through in-depth risk evaluations and checks against worldwide watchlists. With its emphasis on regulatory adherence, AML Insight enables financial institutions to effectively fight against money laundering while improving their operational effectiveness. This comprehensive approach equips organizations with the tools necessary to stay ahead of evolving threats in the financial landscape.
Learn more
Integrations
Company Details
Company:
LexisNexis
Year Founded:
1970
Headquarters:
United States
Website:
risk.lexisnexis.com/products/provider-integrity-scan
Media
Recommended Products
The All-in-One Commerce Platform for Businesses - Shopify
Shopify is a leading all-in-one commerce platform that enables businesses to start, build, and grow their online and physical stores. It offers tools to create customized websites, manage inventory, process payments, and sell across multiple channels including online, in-person, wholesale, and global markets. The platform includes integrated marketing tools, analytics, and customer engagement features to help merchants reach and retain customers. Shopify supports thousands of third-party apps and offers developer-friendly APIs for custom solutions. With world-class checkout technology, Shopify powers over 150 million high-intent shoppers worldwide. Its reliable, scalable infrastructure ensures fast performance and seamless operations at any business size.
Product Details
Platforms
Web-Based
Types of Training
Training Docs
Live Training (Online)
Webinars
In Person
Training Videos
Customer Support
Business Hours
Online Support
LexisNexis Provider Integrity Scan Features and Options
LexisNexis Provider Integrity Scan User Reviews
Write a Review- Previous
- Next